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Pediatrics

Kawasaki Disease Criteria (AHA 2017)

Diagnose classic and incomplete Kawasaki disease per AHA 2017 guidelines. Critical to start IVIG within 10 days to prevent coronary aneurysms.

Clinical Features

Supplementary Lab Criteria (for incomplete KD)

Diagnosis

Criteria not met

0/5 principal features · 0/8 lab criteria

Management

Continue evaluation for other causes of fever — viral exanthems, scarlet fever, measles, drug reaction, JIA, MIS-C (post-COVID). Re-evaluate daily; new features may emerge.

DoctorScribeComplete Clinic Management

Coronary aneurysms are preventable

DoctorScribe auto-flags every prolonged fever ≥ 5 days for KD criteria check, pulls in CRP/ESR/echo, and pings the on-call cardiologist when criteria match — the late-treatment penalty is too high.

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Clinical Disclaimer: Kawasaki disease is a clinical diagnosis — no single test confirms it. Have a low threshold for treating incomplete KD, especially in infants < 6 months and children > 9 years, who often present atypically. Differentials include MIS-C (post-COVID), scarlet fever, measles, drug reactions, viral exanthems. Always verify against your local prescribing reference and apply clinical judgment.

Don't miss Kawasaki on day 5

DoctorScribe flags any child with ≥ 5 days fever for KD screen, pulls in lab results, and queues echo + IVIG — built to prevent the late KD diagnosis that ruins coronaries.

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